National Provider Identifier Database

GLAUCOMA ASSOCIATES OF ILLINOIS LLC
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.


Contact Information

GLAUCOMA ASSOCIATES OF ILLINOIS LLC
695 N PERRYVILLE RD STE 3
ROCKFORD, IL61107-6225
Phone: 815-904-6011
Fax: 815-904-6171
Website:
Specialty Taxonomy Code
* Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for GLAUCOMA ASSOCIATES OF ILLINOIS LLC

NPI Number 1720590375
Legal business name
LBN
GLAUCOMA ASSOCIATES OF ILLINOIS LLC
Authorized official AZIZUR RAHMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/03/2017
Last updated 03/20/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 036129423
  • IL Medicaid: 036129423
  • Other: P01320105 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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